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Home Address
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Zip
Business Information
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Other Information
Appointed or Elected to your State Board?
Appointed
Elected
In what year were you elected?
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
When does your term expire?
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
Educational Interests
Please indicate your educational interests (check all boxes that apply):
Special Ed/IDEA
Early Childhood Ed
NCLB/ESEA
Teaching and Teachers
School Turnaround
Curriculum and Instructional Materials
English Language Learners
School Finance/Funding
High School Reform
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Standards
Charter Schools/Choice
Governance and Leadership
Health
Other
Communication
How would you prefer NASBE to communicate with you? (check all boxes that apply):
Email
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Speaker Interest
Would you be interested in being a speaker on behalf of the State Boards of Education? (If yes, please email your resume to
boards@nasbe.org
and indicate on which subject(s) you can speak.)
Yes
No
Interests in Learning or Serving
Are you interested in learning about or serving on:
Study Group
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Governmental Affairs Committee
Public Education Positions Committee
Board of Directors
Other
Demographic Data (for statistical purposes only)
Highest Education Level Completed:
High School
Some post-secondary
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Age Range:
Under 20 years
20-39 years
40-59 years
60 or older
Current Occupation:
Teacher
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Homemaking
Retired
Armed Services
Attorney
Race/Ethnicity:
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Gender:
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Political Affiliation:
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